White MTA as a Material to Seal Iatrogenic Perforation for Furcation Teeth: A Case Report

Abstract

Iatrogenic perforation is a common complication in endodontic treatment or restoration procedure. Recent developments in dentistry have improved tooth perforation prognosis. MTA (Mineral Trioxide Aggregate) is one of the chosen materials to seal tooth perforation. This case report discuss the management of an iatrogenic furcal perforation using White Angelus MTA to seal the furcal perforation on tooth 26 and its final restoration. Furcal perforation accured while removing the calcification in the mesio buccal canal using Protapper Next rotary file after sealing the perforation site, further root canal preparation was carried on, and root canals were medicated by Calcium Hydroxide. After 2 weeks root canal were obturated with Gutta Percha. After one week observation post obturation patient had no complain, and radiographic evaluation show good sealing by MTA. In Conclusion Angelus MTA have good sealing ability marginal adaptation, and the absence of calcium sulfate had reduced the setting time of the material. It is a suitable material to seal iatrogenic furcal perforation due to its biocompatibility, antimicrobial, good sealing ability, and low solubility.